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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date COUNTY F :L 43 It...1 r Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Permit Number: Building Permit Application Commercial Residential X PERMIT TYPE: Aluminum without concrete PROPOSED IMPROVEMENT LOCATION: Address: 8549 Belfry Place Port St Lucie, FL 34986 Property Tax ID #: 3327-701-0046-000-9 Site Plan Name: Surniak Project Name: POD 28 AT THE RESERVE LOT 43 Lot No.43 Block No. DETAILED DESCRIPTION OF WORK: Install a 39' 2" x 34' 10" aluminum/screen pool enclosure on pool deck by pool company (Apex Pavers & Pools). CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 16,302.00 Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Patricia Surniak Name: Michael J Newman Address:8549 Belfry PI Company: Pioneer Screen Co. Inc. II City: Port St Lucie State: _ Zip Code: 34986 Fax: Phone No. 772-579-9528 Address: 1682 SW Biltmore St City: Port St Lucie State: FL Zip Code: 34984 Fax: 772-340-4626 Phone No 772-340-4393 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail Pioneerscreen@msn.com State or County License RX11066919 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION. DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable N a m e: Do Kim & Associates Name: Address: Po Box 10039 Address: City: Tampa State: FL City: State: Zip: 33679 Phone 813-857-9955 � Zip: Phone: FEE SIMPLE TITLE HOLDER: V Not Applicable Name: BONDING COMPANY: k Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements t ,your propert ; A Notice of Commencement must be recorded and posted on the jobsite before the firs iwispection. Ifi intend to obtain financing, consult with 1 nder or an att7)n6py before com , encin ork or recor in ° your Notice of Commencement- 1 I 11 a. _ ,All Signat e of Owner essee Contractor as Agent for Owner Signature of ontractor/Kcense H Ider STAT OF FLORIDA STATE OF FLORIDA COUNTY OF Saint Lucie CO U NTY OF Saint Lucie The for ing instru em. was acknowiedg efore me this-rday of 20�by The for oing instrument wa acknowledged efore me this•�day of � 20 �by Michael J Newman Michael J Newman Name of person making statement Name of person making statement Personally Known Vr OR Produced Identification Personally Known OR Produced Identification Type of Identific ion Pr uced ype of Identifica 'on roduced f (Signature f Nota Publ' - S e F>"' (Signatur of Notary Public- tate o Florida gg� �u Notary Public ctatelclf Florida Commission No 221t43 C@n2 ni vdF7af1 my Commission GG 221434 g ® Expires 05/23/2022 , � # '�+` +u�, f+lata-y P ' ate of Florida Commission No. GG221434 �� FrBnCee roan My Commission GG 221434 i �'it Expires 05/23/2022 I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE ! COMPLETED Rev. 8/2/17 Proi BOARD OFUNTY PLANNING & DEVELOPMENT COUNTY � SERVICES DEPARTMENT COMMISSIONERSF . R I • A Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT ion: O 5 H 9 Ok Date: < Permit Number: Technician: Required Documents: Application completely filled out with Notarized Signatures ............................ Yes No N/A Sub Agreements with Notarized Signatures (prior to issuance). . ........................ Yes No N/A Owner f Builder Affidavit (signed in office)......... , ...... , ... ............................. Yes No N/A Filled Land Affidavit (prior to issuance) .......... . . . ....... . ............................... Yes— . .Y No N A / — Recorded Warrany Deed, if applicable ..... ........ ....................................... .... Yes No N/A Recorded Notice of Commencemement (prior to issuance or inspection) ............... Yes No N/A Utility Agreement or Payment Receipt (prior to issuance) ................................. Yes No N/A Vegetation Removal Application with copy of survey . .................................... Yes No N/A ,/ Plans, Calculations & Attachments ( 3 copies commercial, 2 copies residential) Complete set of plans with Engineer / Architect Raised Seal ........................... Yes Na N/A — Truss Plans reviewed and approved by Engineer / Architect ............................ Yes No N/A Landscaping and Parking plan (under 6,000 sgft).. .................................... ... Yes_ No f — NIA— Approved Site Plans........................................................................... Yes— Y — No / N A Sealed Survey with Dimensions, Finished floor ........................................... Yes No ✓ N/A Elevations and Setbacks .................. ....... YesNo ✓ N/A — Plot plan with Setbacks ...... . . . ... ................................................... Yes a/ VV No _ N/A Health Department approval stamped on survey and floor plan ......................... Yes No N/A ✓ Health Department Food Establishment Permit stamped_ on floor plan..,.,-.-.,. . .... Yes_ No NIA �( Manual "T' or Manual "ICI" Calculations................................................... Yes No N/A Signed Energy Calculations (1 original signature).. ........................ ............ Yes No N/A Sealed Wind Load Compliance Certification .......................... . ..................... Yes No N/A Product Review Affidavit. . ..... ......... .......... .......... Yes No N/A Other: Health Department Permit Paperwork....................................................... Yes No N/A V CD for Fire Department if commercial or multi -family ................................... Yes No N/A V' DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No NIA ✓ Pool Barrier Affidavit ... ...:.......... ......... ........ ................... ....................... Yes No NIA Ground Sign Landscape Affidavit (signs) ................................................... Yes No NIA V4 Burn Rate for Sign Cabinets ....... . ...... . . .............. .................................... Yes No N/A / RV and Mobile Home Tie -Down Only (2 copies) Permit Worksheet (Tie -Down Diagram) .... . ....................... . .............. . .. . . . .. Yes No N/A Manufacture Set -Up and Installation Manual .......... ........ :.................. .......... Yes No N/A Manufacture Blacking Documents ....... . ................. . .... . ....... . ... . Yes No N!A Signed Penetrometer Test (1 copy)......................................................... Yes_ No N/A (� Stair Details...........................................................I.... Y ... ............... esNaN/A Mobile Home Inspection Report for Relocation (used only) ........................... Yes_ Na NIA Copy of Title for Relocation used only) .............................. Yes No N/A Private Property not in a mobile home park Class "A" Approval from Planning or file # ................................................ Yes- — I _ es Na NIA COMMENTS Revised 7f27I18